Provider Information for 1316013253
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SALLY A. ANN BROWN PhD, LCSW
Other Names:Former Name:SALLY MEADSex: Female
NPI: 1316013253
Last Updated: 2022-11-07
Certification Date: 2022-11-07
Certification Date: 2022-11-07
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1316013253 | ||||||||||||||||||||
| Enumeration Date | 2006-11-24 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 5465 GALENA DR COLORADO SPRINGS, CO 80918-2261 United States Phone: 928-632-3332 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 5465 GALENA DR COLORADO SPRINGS, CO 80918-2261 United States Phone: 928-632-3332 | Fax: | ||||||||||||||||||||
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